心食管癌:多学科诊断方法

S. Kazakova, E. V. Aftaeva, Elena A. Kurkova
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引用次数: 0

摘要

心食管癌是一种罕见的神经内分泌肿瘤。诊断和治疗尤其困难的情况下,近端定位的胃病变(在心脏区域),这需要一个复杂的多学科的方法。类胃癌的临床表现多为非特异性,在内镜检查中因疼痛综合征、消化不良、贫血等偶然发现肿瘤。综上所述,心食管区肿瘤是一个较为现实的问题。在这篇文章中,病人K., 61岁的例子,一个复杂的方法来诊断和治疗心脏食管癌的复杂的情况下,显示的可能性。结论。类癌的诊断是困难的,需要多学科的方法。诊断搜索和治疗策略的算法应针对每个临床病例提出个性化的方法,以便做出正确的诊断并成功实现所需的综合医疗措施。
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Cardioesophageal carcinoid: multidisciplinary approach to diagnosis
Cardioesophageal carcinoid is a rare neuroendocrine neoplasm. Diagnosis and treatment are especially difficult in case of proximal localization of the gastric lesion (in the region of cardia) which requires a complex multidisciplinary approach. The clinical presentation of gastric  carcinoid is in most cases nonspecific, and the tumor is accidentally detected in endoscopic exa-mination for the pain syndrome, dyspepsia, anemia, etc. Thus, all said above makes tumors of cardioesophageal zone a rather actual problem. In this article, on an example of patient K., of 61 years of age, possibilities of a complex approach to diagnosis and treatment of a complicated case of cardioesophageal carcinoid are shown. Conclusion . Diagnosis of carcinoid tumors is difficult and requires a multidisciplinary  approach. The algorithm of diagnostic search and treatment tactics should suggest an individual approach in each clinical case which permits to make a correct diagnosis and to successfully reali-ze a required complex of medical measures.
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